Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $495.80 / $663.66	Professional		$407.39	$495.80	$663.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $577.53 / $594.16 / $980.38	Professional		$577.53	$594.16	$980.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.85 / $591.85 / $591.85	Facility		$591.85	$591.85	$591.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.50 / $564.70 / $1,017.01	Professional		$439.50	$564.70	$1,017.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.67 / $577.55 / $825.09	Professional		$454.67	$577.55	$825.09
United Facility/Professional Professional Modifier Low / Median / High Price $369.55 / $486.72 / $864.62	Professional		$369.55	$486.72	$864.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $555.71 / $715.08	Professional		$368.06	$555.71	$715.08